| Bryan Allen Lucenta, MD | |
|
300 Rockefeller Dr, Muskogee, OK 74401-5075 | |
| (918) 687-6002 | |
| (918) 687-6216 |
| Full Name | Bryan Allen Lucenta |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 42 Years |
| Location | 300 Rockefeller Dr, Muskogee, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699886077 | NPI | - | NPPES |
| 100090100A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 15220 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoebe Physician Group Inc | 8426112350 | 439 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Allen Lucenta, MD 6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331 Ph: (888) 247-0125 | Bryan Allen Lucenta, MD 300 Rockefeller Dr, Muskogee, OK 74401-5075 Ph: (918) 687-6002 |
Satish Kohli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3340 W Okmulgee St, Muskogee, OK 74401 Phone: 918-687-6002 Fax: 918-687-6216 | |
Dr. Ken Kuykendall, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 S 38th St, Muskogee, OK 74401 Phone: 918-682-8631 Fax: 918-682-2280 | |
Dr. Sang Gang Lee, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 S 32nd St, Muskogee, OK 74401 Phone: 918-687-3994 Fax: 918-687-1809 | |
Dr. Ravikumar Vasireddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 N. 32nd St., Muskogee, OK 74401 Phone: 918-683-2000 Fax: 918-686-0554 | |
Dr. Naga Manohar Javvaji, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 S 38th St, Suite A, Muskogee, OK 74401 Phone: 918-682-8631 | |
Dr. Adel George Kyrollos, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Ccom Medical Group, Inc., 350 S. 40th Street, Muskogee, OK 74401 Phone: 918-683-0753 | |
Mrs. Leslie Ann Eddleman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1328 S York St, Muskogee, OK 74403 Phone: 918-683-0470 Fax: 918-683-0475 |